Information Collection

State Administrator Interview Protocol

IC 195322 under ICR 201011-1850-003 · OMB 1850-0878.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix C-1_State Administrator Interview Protocol and Consent Form rev1.docx	Other-Interview and Consent Form

IC Title:

Agency IC Tracking Number:

4446

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Interview and Consent Form			Appendix C-1_State Administrator Interview Protocol and Consent Form rev1.docx		Yes	No	Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	18	18
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.